Organization Active NPI

Fa Da Yi Wang Acupuncture Center Inc

  • Acupuncturist
  • Fremont, CA
National Provider Identifier
1184291072
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
FA DA YI WANG ACUPUNCTURE CENTER INC
Practice address
43480 Mission Blvd Unit 250
Fremont, CA 94539-5892
Phone
(408) 438-5668
Fax
(510) 507-3095
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shu Li Shen
Title
Mnager
Phone
(408) 438-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

43480 Mission Blvd Unit 250
Fremont, CA 94539-5892

Mailing address

369 Monaco Ave
Union City, CA 94587-3714
Phone (408) 438-5668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1184291072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 MONACO AVE",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873714",
            "telephone_number": "408-438-5668",
            "fax_number": "510-573-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43480 MISSION BLVD UNIT 250",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395892",
            "telephone_number": "408-438-5668",
            "fax_number": "510-507-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FA DA YI WANG ACUPUNCTURE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "SHU LI",
        "authorized_official_title_or_position": "MNAGER",
        "authorized_official_telephone_number": "408-438-5668"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.